Individual
DR. SAMUEL UBA MUNONYEDI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
847 FRANKLIN AVE, BROOKLYN, NY 11225-1338
(718) 604-1002
(718) 604-1027
Mailing address
1588 REMSEN AVE, BROOKLYN, NY 11236-5214
(718) 604-1002
(718) 604-1027
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
27OA00579100
NJ
152W00000X
Optometrist
Primary
T006276
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02079638
—
NY
01
—
52937
DAVIS VISION
NY
01
—
925287
BLOCKVISION
NY
Enumeration date
05/25/2006
Last updated
07/08/2007
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